Title: Clinico-demographic profile of children of age 1-5 years with Malnutrition in Kishanganj district, Bihar
Authors: Dr Shabarna Roy, Dr Abhay Kumar, Dr Santosh Kumar
DOI: https://dx.doi.org/10.18535/jmscr/v5i7.53
Abstract
Introduction: Malnourished children, especially in rural area fail to ahieve their full developmental potential.
Objective: To study the clinico-demographic profile of children with malnutrition in Kishanganj district, Bihar.
Material and Methods: A total of 250 children aged between 1-5 years were studied in outdoor and indoor department of MGM medical college and LSK Hospital, Kishanganj, Bihar for demographical, clinical and assessment of malnutrition using Indian academy of pediatrics classification (IAP).s
Results: out of total 250 children covered in the present study, male and female children are evenly distributed, 52% female and 48% male. In general, age distribution is similar for both the sexes, excepting the fact that female children are relatively more found in 2-3year age group and males in 4-5 yrs group. 72% of the children were Muslim and 28% children were Hindu. Children of farmer parents were found more malnourished (42%). Malnutrition was prevalent in children of illiterate parents (75%). As per IAP classification for malnutrition, 12% was found to be normal, 28% and 26% was found to be in grade – II and grade – IV malnutrition respectively followed by 20% in grade III and 14% in grade – I. Grade II malnutrition was found more prevalent. Maximum percentage of malnutrition seen in 2-3 years and 3-4 years age group. 68% children were partially immunized, 18% children were non immunized, 14% children were immunized. Higher prevalence of malnourished children were observed in partially immunized and non immunized children in comparison to fully immunized children.
Conclusion: Present study concludes that malnutrition is much prevalent in this part of Bihar. – Illiteracy, Low income, unimmunization, high prevalence of TB, lack of breast feeding, unemployment create a multifectorial causation of malnutrition. So, this is a major problem in this part and this can be prevented by increasing immunisation coverage, literacy, employment, encouraging breast feeding. This can be done by improvement of female education, health education, administrative support, better health services, and financial support by Govt. and NGOs (Non Government Organisation).
Keywords: Malnutrition; child development; literacy; rural; nutrition
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